IL Health Insurance Law Flashcards
(58 cards)
Ads must be kept for…
4 years
Ads must disclose…
Elimination/waiting periods; exclusions for pre-existing conditions; source of stats; insurer’s name; any compensation paid for testimonials
Ads can’t…
Frame exclusions as positive; badmouth government insurance options; disparage the competition; frame a product as a “limited time offer” unless it’s true
Probationary periods for illnesses can’t last longer than…
60 days
Accident-only policies need to cover…
Accidents right away
If insurer cancels or non-renews, pregnancy benefits…
Ned to remain in effect for a reasonable time
Pre-existing conditions are those from as far back as…
2 years when applying
Most policies must be guaranteed renewable regardless of…
Deteriorating health
The cost of riders must be…
Disclosed
Applications need to determine if…
Policy is meant to replace another policy
Policies must include…
10 day free-look
Insurers must offer major medical insurance to…
All small groups (2-50) regardless of health
Group plans must be…
Guaranteed Renewable
Insurers that end group coverage must continue…
To cover disabled members for a limited time
Group replacements must carry over deductibles paid within…
90 days of the change
Major medical insurance for groups can’t reject or charge a member more because of…
Health
Pre-existing conditions are those within…
6 months before joining the group
Before the ACA, pre-existing conditions could be excluded for no more than…
1 year
IL Group Health Continuation Law
Employee can keep group coverage for 12 months after leaving group
IL Group Health Continuation Law applies to groups smaller than
20
IL MCR Supplements cannot sell…
Duplicate coverage, multiple policies or coverage that already exists under MCR
Producer compensation for replacing insurance can’t be more than…
Renewing existing coverage
IL MCR Supplement coverage must be…
Guaranteed Renewable
IL MCR Supplement coverage must include…
30 day free-look
